NURS 504 EXAM 2 LATEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \Verified Answers) |Already Graded A+
(RATIONALES)
ANSWERS : break down existing clots.
A 70-year-old resident of a long-term care facility has experienced
increasing pain, swelling, and redness to her lower leg over the past 12
hours, prompting the care providers at the facility to have the woman
brought to the local emergency department. Diagnostic testing has
confirmed deep vein thrombosis (DVT) and an IV infusion of alteplase
(Activase) has been initiated? Unlike anticoagulants, a
thrombolytic such as alteplase can
RATIONALES: break down existing clots. prevent the formation of new
clots. inhibit platelet aggregation. potentiate the action of vitamin K.
ANSWERS : hypersensitivity to beta blockers.
Propranolol is ordered for a client who has a cardiac arrhythmia. It will
be important for the nurse to determine if the person has a history of:
RATIONALES: chronic heart failure secondary to a tachyarrhythmia.
idiosyncratic reaction to cinchona derivatives. hypersensitivity to beta
blockers. hypersensitivity to
sulfonylureas.
,ANSWERS : inhibiting the movement of calcium ions across the cardiac
muscle cell membrane.
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a
therapeutic effect by:
RATIONALES: blocking adrenergic receptors and producing
antisympathetic effects. inhibiting the movement of calcium ions across
the cardiac muscle cell membrane.
decreasing sodium and potassium conduction. weakening diastolic
depolarization and the action potential duration.
ANSWERS : Digitalis toxicity is a possibility.
What conclusion should the nurse draw when a client's digoxin level is
reported to be 2.2 ng/mL?
RATIONALES: The medication is at a subtherapeutic drug level. A
therapeutic drug level has been achieved. Digitalis toxicity is a
possibility. A loading dose of digoxin has been given.
ANSWERS : True
Nesiritide is a human B-type natriuretic
peptide. True False
, ANSWERS : Intravenous
A client is to receive abciximab. The nurse would expect to administer
the drug by which route?
RATIONALES: Intravenous Oral Intramuscular Subcutaneous
ANSWERS : False
The most common adverse effects associated with antiplatelet agents
are headache and dizziness.
True False
ANSWERS : Clopidogrel (Plavix)
Which is classified as an antiplatelet agent? Select all that apply.
RATIONALES: Clopidogrel (Plavix) Alteplase (Activase) Phytonadione
(Mephyton) Warfarin (Coumadin) Enoxaparin (Lovenox)
ANSWERS : Increased cardiac output
An instructor is describing positive inotropic activity. Which would the
instructor include as a result of this activity?
RATIONALES: Increased cardiac output Decreased heart rate Increased
preload Increased conduction velocity
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \Verified Answers) |Already Graded A+
(RATIONALES)
ANSWERS : break down existing clots.
A 70-year-old resident of a long-term care facility has experienced
increasing pain, swelling, and redness to her lower leg over the past 12
hours, prompting the care providers at the facility to have the woman
brought to the local emergency department. Diagnostic testing has
confirmed deep vein thrombosis (DVT) and an IV infusion of alteplase
(Activase) has been initiated? Unlike anticoagulants, a
thrombolytic such as alteplase can
RATIONALES: break down existing clots. prevent the formation of new
clots. inhibit platelet aggregation. potentiate the action of vitamin K.
ANSWERS : hypersensitivity to beta blockers.
Propranolol is ordered for a client who has a cardiac arrhythmia. It will
be important for the nurse to determine if the person has a history of:
RATIONALES: chronic heart failure secondary to a tachyarrhythmia.
idiosyncratic reaction to cinchona derivatives. hypersensitivity to beta
blockers. hypersensitivity to
sulfonylureas.
,ANSWERS : inhibiting the movement of calcium ions across the cardiac
muscle cell membrane.
A 70-year-old woman with a history of atrial fibrillation takes digoxin and
verapamil to control her health problem. Verapamil achieves a
therapeutic effect by:
RATIONALES: blocking adrenergic receptors and producing
antisympathetic effects. inhibiting the movement of calcium ions across
the cardiac muscle cell membrane.
decreasing sodium and potassium conduction. weakening diastolic
depolarization and the action potential duration.
ANSWERS : Digitalis toxicity is a possibility.
What conclusion should the nurse draw when a client's digoxin level is
reported to be 2.2 ng/mL?
RATIONALES: The medication is at a subtherapeutic drug level. A
therapeutic drug level has been achieved. Digitalis toxicity is a
possibility. A loading dose of digoxin has been given.
ANSWERS : True
Nesiritide is a human B-type natriuretic
peptide. True False
, ANSWERS : Intravenous
A client is to receive abciximab. The nurse would expect to administer
the drug by which route?
RATIONALES: Intravenous Oral Intramuscular Subcutaneous
ANSWERS : False
The most common adverse effects associated with antiplatelet agents
are headache and dizziness.
True False
ANSWERS : Clopidogrel (Plavix)
Which is classified as an antiplatelet agent? Select all that apply.
RATIONALES: Clopidogrel (Plavix) Alteplase (Activase) Phytonadione
(Mephyton) Warfarin (Coumadin) Enoxaparin (Lovenox)
ANSWERS : Increased cardiac output
An instructor is describing positive inotropic activity. Which would the
instructor include as a result of this activity?
RATIONALES: Increased cardiac output Decreased heart rate Increased
preload Increased conduction velocity
